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Organization
MT PLEASANT OPHTHALMOLOGY
Active
Organization
MT PLEASANT OPHTHALMOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA M MCMILLAN (OFFICE MANAGER)
(843) 884-2015
Entity
Organization
Contact information
Practice address
1705 BEAUCASTEL RD, MT PLEASANT, SC 29464-3657
(843) 884-2015
(843) 881-7068
Mailing address
1705 BEAUCASTEL RD, MT PLEASANT, SC 29464-3657
(843) 884-2015
(843) 881-7068
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3030
—
SC
Enumeration date
07/17/2006
Last updated
11/10/2008
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